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A multitude of nonpharmacological interventions to terminate hiccup belong to the public-domain hiccup “mythology” or have been described in the medical literature as case reports. While usually effective in terminating bouts of acute hiccup, they are mostly ineffective in cases of hiccupping that have been present for an extended period. The common denominator of most of these therapeutic maneuvers (some also used to terminate paroxysmal supraventricular tachycardia) is their ability to directly or indirectly increase efferent vagal activity. Among the best known “vagal maneuvers” are the oculo-cardiac reflex (Dagnini-Aschner), the carotid sinus massage, the Valsalva maneuver, stimulation of the ear/auditory canal, ice ingestion, and induction of emesis. This short report provides an overview on hiccups and attempts to identify the lesser known personalities who pioneered its treatment by vagal maneuvers. The recent introduction of electrical vagus nerve stimulation for therapy-resistant hiccup is the ultimate compliment to these pioneers.  相似文献   

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During the period since the collapse of the USSR, a number of different history books have appeared in Russia. The book under review was published in Moscow in 2007 and appears to be the first textbook officially endorsed by the authorities. It has stirred up considerable controversy in Russia where liberals have portrayed it as an uncritical eulogy of President Putin and an attempt to gloss over Stalin's record. However, despite its sometimes polemical tone, the book is more nuanced. It is not pro‐Soviet, but is decidedly anti‐western; and claims to provide a new version of Cold War history and of Soviet collapse. It deserves study even by those who reject its arguments, because it throws further light on the emergence of nationalism as a political force in Russia.  相似文献   

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Since the early nineteenth century political opposition became a central concept of political representation in constitutional monarchies. While this concept marked the political language of unified Italy on the national level, in local administration the legitimacy of political opposition remained an issue of dispute, as illustrated in this analysis of the political language in Bologna's city council. Local perceptions of national events, like Garibaldi's unsuccessful Mentana-campaign, assumed a significant symbolic meaning and challenged traditional understandings of local administration by introducing notions of political opposition. In Bologna, the second city of the former Papal State, the Moderates were able to form a political hegemony after the Unification of Italy and remained the predominant political force also after the parliamentary revolution of 1876 and the electoral reforms of the 1880s. Due to its limited influence on the local administration, Bologna's Left defined its ideological profile earlier and more clearly than the Left in other parts of Italy and integrated issues of national importance into local political discourse. Illustrating the relationship between central administration and the periphery, the article analyses the development of political language and changing meanings of political representation on the local level between Unification and World War One.  相似文献   

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Madagascar's culture is a unique fusion of elements drawn from the western, northern, and eastern shores of the Indian Ocean, and its past has fascinated many scholars, yet systematic archaeological research is relatively recent on the island. The oldest traces of visitors are from the first century AD. Coastal settlements, with clear evidence of ties to the western Indian Ocean trading network, were established in several places over the next millennium. Important environmental changes of both plant and animal communities are documented over this period, including the extinctions of almost all large animal species. Urban life in Madagascar began with the establishment of the entrepôt of Mahilaka on the northwest coast of the island in the twelfth century. At about the same time, communities with ties to the trade network were established around the island's coasts. From the fourteenth to the sixteenth century, social hierarchies developed in several regions of the island. During the succeeding two centuries, Madagascar saw the development of state polities.  相似文献   

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